Individual
JENNIFER DEPETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
502 N CARROLL AVE STE 120, SOUTHLAKE, TX 76092-6449
(682) 292-7012
Mailing address
4421 WANDA LN, FLOWER MOUND, TX 75022-5446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34436
TX
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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